Chapter 1255

When the intestines were abandoned, Zhang Fan looked at the intestines and had a little resentment against Li Hui. If the bastard hadn't always tempted himself to smoke when he was quarking, he wouldn't have smoked a cigarette in his life.

Smoking seemed harmless at first.

It's dangerous to drink. If you're drunk, it's easy to have an accident. But smoking doesn't seem to matter. Even if the sister has bad breath, the green arrow can still do it.

But looking at the intestines, not only Zhang Fan, but also Zhao Zipeng, who has not quit smoking, began to tremble.

Because Stan's local tyrant likes to smoke a cigar.

In fact, if self encouraging diseases are really controlled with drugs, as long as there is a reasonable treatment plan, patients can be controlled with good cooperation.

For example, there is a story in the Ninth Hospital of mordu that a patient has lupus disease, and her attending doctor is the same age as the patient.

The patient quite cooperated with his attending doctor. The doctor said not to expose his skin when the sun was strong. The patient never wore short sleeves or skirts again.

As a result, many years later, the patient lived well, and the doctor finally went to another world early because of abnormal sleep.

As for the life of local tyrants, people who can make a lot of money should have strong self-discipline.

But this one, cigars don't leave his hand.

Many people say that cigars are fine, cigars are not harmful, and cigars do not enter the lungs.

In fact, this is a lie.

There was a famous man who smoked cigars and took out oral cancer.

Because the oral mucosa can not only kiss, but also absorb.

The absorption of many drugs is often taken under the tongue, because this speed is the fastest and the fastest way to enter the heart.

For example, nitroglycerin is the kind of life-saving medicine installed in Chinese porcelain gourd.

Why not swallow it? It must be taken.

Because this way of taking makes the drug enter the heart the fastest, even faster than intravenous infusion.

Nitric oxide, carbon monoxide and various macromolecular substances in cigars can enter blood vessels through oral mucosa.

Then hit the blood vessel wall.

The intestinal blood vessels of patients like Crohn have long been a mess.

But he doesn't want to smoke a cigar.

As a result, the disease worsens and drug control has no effect at all.

Therefore, only surgery.

Zhang Fan threw away his intestines, which was just like a child peeling the coat of ham intestines. The metal at the top of the ham couldn't be removed, and the child was not stupid. He bit a small mouth from the side, and then pulled it with his small hand, and one of the ham was exposed.

And Zhang Fan's current operation is actually like this.

First make a small opening in the middle of the intestinal lesion.

Then in this small mouth, start holding scissors up and down.

How to diffract.

Scissors!

To stop bleeding, first ligate all the surrounding upper and lower blood vessels.

Ligating the black thread one by one is like burning the ring scar on the intestines with a lighted incense head.

The long pink white intestines are covered with black dots. It looks as if the pig's large intestine is covered with black worms, wriggling with the peristalsis of the intestines.

People who see it can't wait to pick it all with their hands. People with obsessive-compulsive disorder can be forced to die on the operating table.

Zhao Yanfang knotted Zhang Fan while touching the lesions on the inner wall of the intestine.

"Don't send all the diseased tissues that will be cut down later to the pathology department. Leave a section for me. I think our laboratory is alive."

As soon as Zhang Fan listens, this matter is not gossip.

"What?"

"This is an atypical Crohn's disease and we can study it further."

Zhang Fan was stunned. He thought that what else could be studied about this thing had been digested and studied all over the world. Since 32 years ago, many European and American experts have rushed here, and there were no results in the end.

It is also strange that this disease is not much in China. This disease tends to occur in European and American people. In Europe and America, this disease is particularly common.

"You don't understand!" This time it's Zhang Fan's turn to be defeated.

Zhao Zipeng originally looked with relish. He could see the taste of anus and intestines, not to mention the small intestine and large intestine.

But when he heard that Zhang Fan was wronged, he immediately raised his head and looked at Zhang Fan.

This is not provocation.

This is a step for Zhang Fan. Let Zhang Fan say a word to step down.

Sometimes people can succeed or stand out in a group of people. It's really not for nothing.

If it was someone else, even if he didn't laugh, he might lower his head and look like I didn't do anything.

And others, directly to Zhang Fan steps.

This is the ability.

Zhang Fan smiled.

The operation was slowly cut along the intestines.

Intestinal solution is mixed with mucus secreted by infection.

Enteric solution is slightly thicker than saliva.

The fluid secreted by infection is similar to yellow phlegm.

And because of the secretion of intestinal flora, green liquid appears.

There is also the destruction of intestinal mucosa, in which blood is also mixed.

Zhao Yanfang took a piece of gauze and Zhang Fan cut one centimeter. She had to wipe one centimeter.

Darling, even with a mask.

You can also feel an extremely disgusting smell.

It's like a herring can being trampled to a paste, and then falling down with its nose close to the paste.

Absolutely uncomfortable.

How to say this feeling, just like a man entering a woman's bathroom.

It's not only smelly, but also a rather unpleasant taste.

After wiping, pieces of gauze were used up and quickly put into the tissue bag for sealing.

"It's a little long. I don't think the length of the intestine is enough." Zhang Fan looked at the small intestine and large intestine and was a little scared.

This kind of operation, to be honest, is too simple.

Holding scissors is like eating braised pork intestines. Just cut them.

The difficulty is the later contraposition suture.

Although the large intestine and small intestine are intestines, the effects of these two gadgets are different, resulting in different tissue structures.

For example, many people like to eat large intestine. Why, not only does it have a slight odor, but also because the large intestine is soft and rotten.

The small intestine is different. It costs teeth.

Because after gastric acid rushes out of the stomach, the first thing to enter is the small intestine.

Pancreatic bile rushes out and enters the small intestine first.

They have a neutralization reaction here. However, acidic and alkaline liquids become neutral liquids.

Therefore, the small intestine should be thick.

The large intestine is different. The large intestine is much thinner for me first, and it is quite thin because it needs to absorb water.

This thing, if the acid and alkali directly enter the large intestine, the reaction has not been completed. It is estimated that the large intestine can be corroded into holes first.

Even if it is not corroded, the length of the small intestine is too short, which can lead to large intestine injury.

This is called stump cancer.

Like gastric cancer.

Many people know that as long as the lesion is cut off, patients with gastric cancer can often survive for a long time.

Five years of survival is the beginning.

Some even haven't had a problem for 30 years.

But some doctors finished gastric cancer, the patient had stump cancer in a few years, and then hung up.

This situation is sometimes the problem of doctors' surgical techniques.

Therefore, Zhang Fan looked at this section of the intestine a little worried.

If you say, ordinary doctors may pull it and sew it together. It's not intentional, because sometimes if there's no way, the body can only make up for it.

For example, after a fracture, the steel plate was sewn tightly. After taking a film, the layman looked at it and said, darling, the operation was well done. It was like sticking a steel plate without a fracture.

And the insiders smiled and became unknown. Because this method damages the bone so much that the periosteum on the bone is scraped clean.

What is the periosteum? Bones eat by this thing. Blood vessels and nerves pass through the periosteum.

Therefore, without the periosteum, the bones that could grow well in 100 days would have to be half a year. It's all good luck. If you look at it in two months, the bones will shrink.

When the intestinal tract is pulled and sutured, patients will have a high probability of cancer and stump cancer.

But if you don't pull it, after loosening the intestine, it will increase the injury in the patient's intestine, and the patient will have prone intestinal obstruction.

This aggravated damage may not be able to do well sometimes.

The difficulty of operation has increased a lot.

Therefore, one is that there will be hanging diseases. If the stump cancer comes out, there will be no chance to cut the intestines again.

It can increase the injury and reduce the injury, which will cause the patient to hit the ground painful intestinal obstruction from time to time.

To tell you the truth, this choice is really not easy.

In this case, ask the patient's family, and there are few that the patient's family can understand.

Ask the patient what happened to the patient.

What to do? It's up to the doctor to choose.

"Continue stripping!" Zhang Fan bit his teeth.

"No, let me see." Zhao Yanfang stopped Zhang Fan.

Zhang Fan glanced at Zhao Yanfang.

"Let me see, let me see." Zhao Yanfang frowned and thought carefully.

Zhao Yanfang's eyes lit up when Zhang Fan and his family were ready to continue their decomposition.

"Ice, warm water, come on."

The operating room is always carrying distilled water and ice frozen with distilled water.

The itinerant nurse came quickly with ice and warm water.

Zhang Fan looks at Zhao Yanfang.

Not only Zhang Fan, but also Zhao Jingjin don't understand, let alone Zhao Zipeng.

"I read a case paper on bjm. The paper said that the small intestine will develop easily at minus 15 degrees Celsius, while the large intestine will slowly extend when the temperature exceeds 40 degrees Celsius.

The small intestine is composed of annular orbicularis muscle. It has four layers. After freezing, there is a temperature difference between the four layers, which will make the link side of the tissue longer! And the large intestine... "

Zhang fan understands this truth.

However, intestinal tract is not afraid of knife cutting or needle pricking.

But this thing is particularly sensitive to pull and temperature.

During abdominal surgery, senior doctors often say, be easy, be light, and don't pull.

If you are not careful and pull too much, the intestinal tract will often lead to heart failure.

The temperature is the same. When washing the abdominal cavity, it is often about 37 degrees of water.

The simplest thing is to swallow a hot ball in one mouthful, and then it hurts from the tongue to the stomach.

So, this method is really dangerous.

"If you can guarantee that the suture will be completed within three minutes when the temperature changes, I don't think it will be necrotic.

Tissue cells will not necrosis in such a short time.

Now let's see if you can finish stitching in three minutes. "

Zhang Fan nodded.

Then gently groped with your fingers along the intestinal ring, and estimated about how many stitches it would take to complete the suture.

Lao Zhao and Zhao Jingjin looked at the head of the large intestine and the head of the small intestine and gently shook their heads.

It's too difficult.

Zhao Zipeng looks at Zhang Fan!